Exam 2 Flashcards

(157 cards)

1
Q

Basal cell carcinoma

A

Type of cancer
Slow-growing skin cancer that starts in stratum basale
Least lethal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Squamous cell carcinoma

A

Type of cancer
Starts in stratum spinosum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Melanoma

A

Type of cancer
Starts in melanocyte
May start looking like a mole
Will often metastasize
Most lethal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Epiphyseal growth plate mechanism

A

Fused = no more growth
Unfused = Continued growth
Cartilage: contains chondroblasts
Proliferation: hyperplasia (increase in cell number)
Hypertrophy: increased cell size
Calcification: cells are filled with hydroxyapatite (HA) Ca10(PO4)6(OH)2 and then apoptosis leaves the HA
Ossification: new diaphysis
Bone growth goes from ossification to calcification and up to create new diaphysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Interstium

A

Space between cells (fluid in space is interstitial fluid)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Hydroxyapatite

A

Inorganic matrix
Ca10(PO4)6(OH)2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Compression strength

A

Bone
Material’s ability to resist forces that compress it or reduce its size
Hydroxyapatite
Softer bone = dehydration (brittle)
Bone decays when buried in dirt, so loses organic component = brittle bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Tensile strength

A

Bone
Material’s ability to resist forces that stretch or elongate it
Collagen
Sulfuric acid will make HA leak out = bone will bend

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Osteoblasts

A

Organic matrix
Induce formation of inorganic matrix
Form new bone
Remodel existing bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Osteocytes

A

Lacunae within bone stabilize and maintain bone matrix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Osteoclasts

A

Periosteum
Endosteum reabsorb calcified bone matrix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What happens to blood Ca++ levels when osteoblasts or osteoclasts are active?

A

Osteoblasts: blood Ca++ levels decrease
Osteoclasts: blood Ca++ levels increase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hormones involved with blood remodeling

A

Calcitonin, Parathyroid Hormone (PTH), Calcitriol (Activated Vitamin D), Estrogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Hormones that elevate blood calcium

A

Parathyroid Hormone (PTH), and Calcitriol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hormones that lower blood calcium

A

Calcitonin
Inhibits osteoclasts and stimulates osteoblasts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How to recognize an osteoclast

A

Osteoclasts have a ruffled border that connects with the bone and works to break the bone apart by secreting hydrochloric acid
Multinucleated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What acid do osteoclasts secrete

A

Hydrochloric acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Microscopic bone anatomy

A

Know what lamellae, lacunae (spaces), canaliculi, osteon, periosteum, osteon of compact bone, trabeculae of spongy bone, haversian canal, volkmanns canal looks like in a bone
https://training.seer.cancer.gov/images/anatomy/skeletal/bone_tissue.jpg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Is human skull fused at parturition? Why or why not? What is partruition

A

No
Babies have a soft spot on top of their head (fontanelle) to help them go through the birth canal
Parturition: True labor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Chondroblasts

A

Form cartilage and chondrocytes
Descended from mesenchyme
Specialized cells in the perichondrium that actively produces the extracellular matrix components of cartilage and form it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

5 regions of epiphyseal growth plate and characteristics (in order from shaft to plate)

A

Cartilage: Comes from chondroblasts
Proliferation: Hyperplasia
Hypertrophy: Cell size gets bigger
Calcification: Hydroxyapatite left behind after apoptosis; cell itself is gone, but HA is left
Ossification: New diaphysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Hypertrophy vs. Hyperplasia vs. Atrophy

A

Hypertrophy: Cell size gets bigger
Hyperplasia: Number of cells in the area grow
Atrophy: Decrease in size of organ or tissue due to disuse or less use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Synovial fluid

A

Has high levels of hyaluronic acid allowing for free movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Arthritis

A

Joint inflammation, typically from less articular cartilage due to wear and tear
NSAIDS can manage symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Modified ball and socket joint
Condyloid synovial joint Allows for flexion, extension, abduction, and adduction Radiocarpal joint (wrist)
26
Anatomical points for reference Olecranon, popliteal, anterior crest of tibia, nuchal, calcaneal
Olecranon: Back of elbow Popliteal: Back of knee Anterior crest of tibia: Shin bone Nuchal: Back of neck Calcaneal: Heel of foot
27
Osteogenesis Imperfecta
Known as brittle bone disease Autosomal (non-sex) dominant (one parent to child) 19 genes involved There are 28 types of collagen, but OI causes lack of collagen type I Causative genes are COL1A1 and COL1A2
28
COVID 19 and our defense
Inflammation Can become overzealous and lead to an increase in fluid concentration in the lungs (pneumonia)
29
Collagen helix
Triple helix
30
Carpal tunnel syndrome
Caused by pressure on the median nerve Symptoms: Numbness, tingling, weakness in hand and arm Neuropathy = Nerves are agitated
31
Carpal tunnel
Narrow passageway surrounded by bones and ligaments on palm side of hand; contains 9 tendons
32
Osteoporosis
Disease that develops when the bone mineral density and bone mass decreases (weak bones) Most likely in menopausal women because estrogen levels have fallen
33
Estrogen
Prevents apoptosis of osteoblasts Decreases likelihood of osteoporosis
34
Sclera changes
Change in the color of sclera can indicate disease Sclera will be yellow if someone has jaundice Sclera of eye will be blue if someone has osteogenesis imperfecta
35
Tommy John Surgery
Surgical graft Ulnar collateral ligament in the medial elbow is replaced by either a tendon from patients body (gracilis and palmaris longus) or one from a deceased donor Super common among collegiate and professional athletes that deal with throwing (baseball)
36
Turf toe
Ligament sprain of the big toe joint that occurs on turf surfaces Causes tenderness and swelling around the hallux joint
37
Scientific name for big toe
Hallux
38
AC joint
Acromioclavicular Joint Acromion of scapula and lateral end of clavicle Injury to this is a separated shoulder (torn ligaments)
39
GH joint
Glenohumeral Joint Humerus and glenoid fossa Injury to this is a dislocated shoulder
40
High ankle sprain
Caused by external rotation and hyperdorsiflexion; Stretching and twisting of syndesmotic ligaments that connect tibia and fibula of lower leg Long time to heal because high ankle ligaments have heavier load to lift
41
Non-weight bearing bone of lower leg
Fibula
42
Transverse
Broken bone Perpendicular to medullary cavity
43
Linear
Broken bone Parallel to medullary cavity
44
Oblique non-displaced
Broken bone At an angle
45
Oblique displaced
Broken bone At an angle Cut clean in half
46
Spiral
Broken bone Lower part of body is planted and upper body twists wrong
47
Greenstick
Broken bone Typically with the very young Bone bends before it breaks
48
Comminuted
Broken bone In pieces
49
Compound
Broken bone Penetrated through the skin
50
Blunt force trauma
Leads to a fracture and/or contusion
51
Depression Fracture
Located in cranium Most often seen in forensics due to malicious intent Bone fragment dislodged towards brain Perfect impression from impact
52
Muscles of rotator cuff
Group of muscles and tendons that stabilize human shoulder and allow its range of motion Arise from scapula and connect to head of humerus Supraspinatus, infraspinatus, subscapularis, teres minor
53
Rotator cuff stabilizes
Glenohumeral joint
54
Tendonitis
Inflammation of tendon sheaths typically caused by overuse
55
Tendinopathy
General term for degeneration of a tendon in any joint Ex: Rotator cuff
56
Tear of the tendon
An injury due to soft tissue that connects muscles to joints Can happen suddenly, typically due to overuse/overstretching Caused by muscle's inability to absorb shock, load, or force
57
Bruise
Contusion Most common cause being capillaries damaged by trauma, causing localized bleeding extravasates (leakage of blood, lymph fluid) into the surrounding interstitial tissue
58
Separated shoulder vs dislocated shoulder
Separated shoulder: Injury to the Acromioclavicular joint Dislocated shoulder: Trauma to the Glenohumeral joint
59
Scar
Around a wound When macrophages signal fibroblast activity to add collagen and other elements of the extracellular matrix Epidermal Growth Factor (EGF) not sufficient in healing these wounds
60
Why does a bruise change color
Indicates hemoglobin (protein in red blood cells) has begun to break down Most bruises occur close enough to the epidermis such that bleeding causes a visible discoloration
61
Blanching of skin
Skin has a whitish appearance caused by diminished blood flow to region
62
Can capillaries be damaged
Yes Often causes contusion
63
5 signs of inflammation
Heat, pain, redness, swelling, loss of function
64
What is evolutionarily significant purpose of inflammation
To eliminate the initial cause of cell injury/clear out necrotic cell and tissues damaged from original insult and initiate tissue repair
65
If I scratch my arm with a key in a linear manner the initial color of the line is? Then it becomes what color? Why?
White to red The line is whitish or pale immediately after the scratch This is because the pressure from the key temporarily displaced blood from capillaries, reducing blood flow and causing a blanching effect Reactive hyperemia, where blood rushes back into the area as part of the body's inflammatory response Histamine is released by cells, causing vasodilation and increased blood flow to the area, resulting in the red appearance
66
COVID 19 and inflammation is where in the body
Binds to the ACE-2 receptors in the lungs Inflammation in the lungs can result in fluid buildup and drowing
67
Vitamin D3 formation
When skin is exposed to sunlight, cholecalciferol (Vitamin D3) is formed, sent to the liver for modification (calciferone), and then finally converted to calcitriol in the kidney Calcitriol is a hormone responsible for the elevation of blood calcium levels
68
Arrector pili muscles
Smooth muscles in our skin that make our hair stand whenever we are cold/scared
69
Proprioception
Our ability to determine our body's position, direction, and acceleration in space Involves inner ear fluid, pacinian corpuscles, semicircular rings, vestibulochlear nerve, and tiny hairs within the ear
70
Which major arteries are exposed
Carotid, jugular, femoral More prone to injury and massive blood loss because they are superficial
71
Keratin
Tough intermediate filament that makes up the outer layer of skin, hair, and the hooves, scales, feathers, etc. in most invertebrates Protects the epidermis, but dries out easily because of its extreme insolubility in water and organic solvents
72
Skin cancer
Melanin: Genetic component Sunburns Damage of epidermis and dermis Cells in skin mutates Peeling Cancer
73
Epigenetics
How your behaviors and environment can cause changes that affect the way your genes work Unlike genetic changes (mutations), epigenetic changes are reversible and do not change the sequence of DNA bases, but they can change how your body reads a DNA sequence
74
Desmosomes
Intercellular junctions that provide strong adhesion between cells
75
Gap junctions
Allow for intracellular fluid and ions to flow between cells Act like tunnels Intercalated discs
76
5 layers of the skin
Corneum (top) Luicium Granulosum Spinosum Basale (bottom) Come Lets Get Sun Burnt
77
Thickness of skin
Dermis is thicker than epidermis Thickest dermis and epidermis are found between the scapulae Calluses are the thickest epidermis and are found in the hands and feet
78
What layers of skin are alive?
Only stratum spinosum and basale are alive These cells are responsible for mitotic activity while the granulosum is dying and the lucidum/corneum are dead to protect skin against abrasion Cells going from deep to superficial takes 45 days
79
Bacteria
Obligate aerobes vs obligate anaerobes
80
Obligate aerobes
Need oxygen to survive
81
Obligate anaerobes
Oxygen is toxic
82
What do you see when you pour H2O2 into a cut? Why is this performed?
Hydrogen peroxide is converted to oxygen because obligate aerobes carry three enzymes that can perform this mechanism: catalase, superoxide dismutase (SOD), and glutathione peroxidase (GSH) SOD makes H2O2 and GSH and catalase are mainly responsibly for oxygen production by breaking down H2O2 to H2O and O2, which O2 is toxic to the obligate anaerobes that can cause infection
83
Melanin
Absorbs radiation in the skin Secretory pathway (endoplasmic reticulum to golgi apparatus to the melanosomes) Keratin phagocytes eat the melanosome membrane but melanin stays put because melanosome holds melanin
84
Apocrine vs Eccrine
Apocrine sweat glands are located in armpits and groin and excrete both sweat and oil Eccrine sweat glands are everywhere and excrete only sweat
85
Parts of the human nail
Know where nail plate, nail groove, lunula, and cuticle (eponychium; extension of stratum corneum) are located
86
Immunosuppresants
Used when given a skin graft from another person Needed because body will interpret the transplanted cells as foreign Used so skin graft is not rejected
87
What is MHC
Major histocompatibility complex A group of genes that encode proteins that help cells recognize "self"
88
Enzyme difference between obligate aerobes and obligate anaerobes
Obligate aerobes have three enzymes that obligate anaerobes are missing They are missing these enzymes because of the oxygen products they produce Catalase, superoxide dismutase (SOD), and glutathione (GSH) peroxidase (GPx)
89
Fascia
A very thin layer of connective tissue that wraps around internal organs and msucles
90
Retinaculum
A deep layer of dense connective tissue that is typically oval or circular in its morphology that can often times stabilize tendons or even muscles
91
Shock
Life-threatening condition where organs have insufficient blood flow Sudden drop in blood pressure
92
Vasodilation
Leads to reduced resistance in system and reduced blood pressure
93
Connection between EGF, a wound, and a scar
EGF stimulates collagen production but cant heal wounds Scar forms around a wound and macrophages signal fibroblast activity which also adds collagen and other elements of the ECM to help heal the wound EGF is released when tissue is damaged; EGF shows up and mitotic activity goes up, able to heal most injuries
94
Debridement
When a doctor removes dead tissue from a wound to help a wound heal Dead tissue can give bacteria a place to grow, which can lead to infection
95
Connection between cortisol levels and immune system function
When stressed cortisol levels go up, immune system function goes down Body cannot fight off virus as easily and is therefore susceptible to sickness
96
Cortisol is from where
Adrenal cortex (the outer region of an adrenal gland)
97
Hernia
Abnormal exit of tissue or organ, such as the bowel, through the wall of the cavity in which it normally resides Occurs when part of your insides bulges through an opening or weakness in the muscle or tissue that contains it
98
Types of hernias
Inguinals: Bulges in the groin Epigastrics: Occurs in stomach (upper abdomen) Laterals: Occurs in lateral abdomen Femorals: Occurs in the upper thigh Incisionals: Occurs at front of the abdomen where a previous incision was Umbilicals: Occurs at or near the belly button
99
Cosmetic surgeons prefer what type of incision?
Parallel to the patterns of connective tissue found on the body, which promotes easier healing and less scarring
100
Osteons
Functional unit of bone
101
Tendons used for Tommy John surgery repair
Gracilis and palmaris longus
102
Bone remodeling and hormones
Calcitonin: lowers blood Ca++ Parathyroid Hormone: Elevates blood Ca++ Calcitriol: Activated Vitamin D; elevates blood Ca++ Estrogen: Helps prevent osteoblast apoptosis which is good for bone density
103
3 major organs or structures involved in Ca++ level in blood
Bone: Bones act as reservoir for calcium. When blood calcium levels are low, calcium can be released form bones through a process called bone reabsorption GI tract: The intestines absorb calcium from the diet, allowing it to enter the bloodstream Kidney: Regulate calcium levels by controlling how much calcium is reabsorbed into the blood or excreted in urine
104
Does brain want blood calcium levels higher or lower
Brain prefers normal calcium levels
105
Osteoporosis treatments
1) Ca++ diet (dairy products) and TUMS 2) E2 (form of estrogen) through ERT (estrogen replacement therapy) 3) Low weight-bearing exercise (stress on bone = increase bone remodeling) 4) Pulsatile PTH (exogenous source) tricks brain into thinking PTH levels are elevated, thus causing it to make less PTH so that osteoclast activity decreases
106
Histamine
A compound which is released by cells in response to injury and in allergic and inflammatory reactions, causing contraction of smooth muscle and dilation of capillaries Stored in granules in mast cells Can be released when mast cell comes into contact with an allergen
107
Allergy types
Seasonal allergies: Less severe Casual allergy: A mild reaction; symptoms include runny nose, coughing, or itchy eyes Life threatening: Anaphylaxis (whole body reaction that causes shock)
108
Allergic reactions
Eyes: Red; puffy; itch Nose: "Stopped up"; runs Trouble breathing: Bronchoconstricts of smooth muscle of respiratory tube Causes vasodilation: Lowers blood pressure Causes bronchoconstriction: Lowers O2 intake Need EpiPen because epinephrine promotes vasoconstriction and bronchodilation
109
Allergen
A substance that produces an allergic reaction in an individual
110
H1
Histamine receptor found in vascular smooth muscle, in bronchi, and on sensory nerves Stimulation results in itching, pain, edema, vasodilation, and bronchoconstriction Characteristic of inflammation and allergy
111
H2
Histamine receptor located in stomach and eyes Stimulation results in secretion of hydrochloric acid Enterochromaffin-like cells produce histamine and bind with parietal cells, but heart-burn medications inhibit histamine (antagonists) Can cause acid reflux
112
H3
Involved in central nervous system functioning and feedback control of histamine synthesis and release
113
H4
Located in peripheral white blood cells and mast cells Involved in immune responses
114
Odor in apocrine sweat glands
Sweat/oil glands found in the groin and axillary region The oil secreted acts as fuel for bacteria to grow which produces bad odor
115
Cyclooxygenase
COX1 and COX2 are enzymes that turn arachidonic acid into prostaglandins
116
Prostaglandins
Hormone-like substances that affect several bodily functions, including inflammation, pain and uterine contractions Derived from Arachidonic Acid There are 5 prostaglandins
117
PG I2
Wound stage 2 Causes vasodilation for increased blood flow/healing Demotes platelet aggregation
118
PG D2
Pain, sleep/wake cycles, pyretic (fever inducing) Mediates inflammation
119
PG E2
Main inflammation prostaglandin Causes pain, redness, swelling, inflammation
120
PG F2 alpha
Corpus luteum (CL) regression, skeletal muscle End of menstrual Estrogen and oxytocin stimulate the release of oxytocin, which aids in the stimulation of uterine contraction
121
PG H2
Wound stage 1 Thromboxane (substance produced by platelets) Vasoconstriction and increased clotting/platelet aggregation Don't want to endure massive blood loss
122
Cyclooxygenase inhibitors
COX1: Blocked by Advil (ibuprofen) and Aleve (naproxen); NSAID COX2: Blocked by Tylenol (acetaminophen); Not an NSAID Both: Blocked by Aspirin (Acetylsalicylic acid); NSAID; Acetylates Serine (EX: SER530) SER = Serine; 530 = AA#
123
Histamine blockers
H1: Blocked by Benadryl (night) and Zyrtec (morning) (antihistamines) H2: Blocked by anti-heartburn drugs (Tagamet and Pepcid)
124
ABCDE of moles
Moles can be melanoma Asymmetry: Not round or oval Border: Notched, irregular, or scalloped Color: Multiple colors, changes in color, uneven color Diameter: Larger than 1/4" Evolution: Itching, bleeding, tenderness
125
Glutathione vs GPx
Glutathione: A tripeptide (glutamate, cysteine, glycine) that protects cells by neutralizing reactive oxygen species AKA reducing the cysteine residue; Most ubiquitous triglyceride GPx: Glutathione peroxidase; an enzyme
126
NSAIDs
Nonsteroidal anti-inflammatory drugs Medications that reduce inflammation, pain and fever COX1 Inhibitors and COX 1 and 2 Inhibitors: Ibuprofen, Naproxen, and Acetylsalicylic acid
127
Connection between baroreceptors, vasodilation, and blood pressure
Baroreceptors detect a change in blood pressure (too low or too high) and then mediate the appropriate response If blood pressure is too high, vasodilation occurs and blood pressure will decrease due to the blood vessels expanding
128
EpiPen
Contains adrenaline Causes vasoconstriction and bronchodilation, raising O2 levels and blood pressure Inhibits further release of histamine
129
NSAIDs, Inhibitors, Antihistamines
NSAIDs: Non-Steroidal Anti-Inflammatory Drugs; COX1; Ibuprofen, Naproxen, and Acetylsalicylic acid Tylenol: Acetaminophen; Not an NSAID; COX2 inhibitor Benadryl: Diphenhydramine; Not an NSAID; antihistamine Heart burn medications: Pepcid AC (famotidine); Not an NSAID Tagamet (Cimetidine); H2 inhibitor; antihistamine
130
Deodorant vs Antiperspirant
Deodorant: Neutralize thiol alcohols which produce stink (mask odor) Antiperspirant: Inhibit apocrine sweat glands, decreasing the amount of sweat and oil excreted
131
Skin tag
Acrochordons Where skin has creased from elevated amount of friction Found in the axillary region, neck, eye, and groin
132
Regions of epidermis and dermis
Epidermis: Stratum corneum, lucidum, granulosum, spinosum, basale Dermis: Papillary and reticular layers
133
How did ancestors going upright and bipedal change anatomy
Affected anatomy of pelvic girdle Pelvic girdle widened = birth canal widened = can give birth to babies with larger cranium = babies can have larger brains = development of prefrontal cortex, wernickes area, and brocas area
134
4 sinuses
Maxillary, frontal, ethmoid, sphenoid Warms and humidifies air we breathe in Secrete mucus to trap bacteria and impurities Know orientation https://ctsinuscenter.com/wp-content/uploads/2023/01/Paranasal-Sinuses.jpg
135
Referred pain
Maxillary sinus superior to upper teeth, so infection of maxillary sinus causes inflammation and leads to pressure on upper teeth, so brain interprets as toothache
136
3 elements of cleaning wound by pouring H2O2 in cut
Fluid: cleansing wound by pouring fluid Toxic: O2 is toxic to obligate anaerobes that are trying to infect cut Psychosomatic: Makes person feel better about cut healing; not stressing about cut
137
Glutathione molecular structure
https://file.medchemexpress.com/product_pic/hy-d0187.gif Has HS and NH
138
Source of mutation within skin
Sun can be a source of mutation Direct positive correlation between the number of times you burn and peel and the incidence of skin cancer If cancers start in melanocytes they have the greatest incidence of metastasizing
139
Nociceptor
Pain receptors Sensory receptors that are activated by noxious stimuli that damage or threaten the body's integrity Exception to skeletal muscle Involuntary Shiver
140
2 parts of hair for DNA
Follicle: Best to find DNA; takes dermal root cells and dermis Root
141
Parts of hair
Shaft of hair: What you shave Follicle: Foundation Root: Between
142
Burn degrees
First degree burn: Epidermis Second degree burn: Epidermis and dermis Third degree burn: Epidermis, dermis, and subcutaneous tissue
143
Microscopic terms of bone
Volkmann canal: Contains arteries, veins, and nerves Interstitial lamellae: Irregularly shaped and fill in the spaces between osteons Concentric lamellae: Cylindrical rings of lamellae which are rich in collagen Haversian canal: Surrounded by osteons; Nutrient canal of osteons that house nerve fibers and capillaries; allows bone to get oxygen and nutrition without being highly vascular
144
Calcitonin
From thyroid c-cells Lowers blood calcium levels Stimulus: Blood calcium was too high Put osteoblasts to work; osteoblasts activity up; will take calcium out of blood and increase hydroxyapatite Osteoclast activity go down GI tract absorb less calcium and instead keep it in GI tract; GI absorption decreased Kidney reabsorption decreased to filter calcium out of urine
145
Parathyroid (PTH)
From parathyroid gland Increases blood calcium levels Stimulus: Blood calcium low Osteoclast activity increases Osteoclast secrete hydrochloric acid to wither bone away; calcium from bone goes into bloodstream
146
Calcitriol
Sun activate precursors Cholecalciferol goes to liver Calciferol goes to kidneys Activates vitamin D3 (calcitriol) Elevates blood calcium levels by stimulating osteoclasts
147
Estrogen (E2)
Helps to prevent apoptosis of osteoblasts E2 increases = increases number of osteoblasts = increases building bone = E2 decreases Menopause = Osteoporosis
148
Strain vs Sprain
Strain: Tendon; Bone to muscle Sprain: Ligament; Bone to bone
149
Mediators of inflammation
Arachidonic acid, vasoactive peptides, phospholipid mediators, cytokines
150
Vasoconstriction vs Vasodilation
Vasoconstriction: Blood vessel constricts; Systemic vascular resistance increases Vasodilation: Blood vessels dilate; Systemic vascular resistance decreases
151
Histamine sources
Mast cells Basolipids Hypothalamus Enterochromaffin-like cells
152
Effects of histamine
Inflammation, vasodilation, bronchoconstriction, mucous secretion, itching
153
Allergy feed forward stimulation
Eyes -> Histamine increases -> Puffy; red; itch -> Scratch or rub eyes -> Feels good (short term) -> Mast cell activity increases -> Histamine levels increase
154
Agonist vs Antagonist
Agonist: Always produces a specific action and triggers the receptor to produce a natural response Antagonist: Block or oppose the natural action or response of a receptor
155
COXs
Constitutive (COX-1) or inducible (COX-2) enzymes that catalyze the conversion of arachidonic acid into prostaglandin H2
156
Acetylsalicylic acid
Donates acetyls tp SER530 (Serine AA#) Stops transcription from COX1 to COX2
157
Degranulation of mast cells
Releases histamine